DR. STEPHEN WATERMAN IV (NPI# 1578659389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578659389 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN WATERMAN IV |
| Credential | D.D.S. |
| Practice Address |
15224 Main St. Suite 300 Mill Creek WA 98912 |
| Practice Telephone | 4253798020 |
| Practice Fax Number | 4253798022 |
| Mailing Telephone | 4253798020 |
| Mailing Fax Number | 4253798022 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DE00005768 | WA | Dental Providers |
| Street Address |
15224 MAIN ST. SUITE 300 |
| City | MILL CREEK |
| State | WA |
| Zip Code | 98912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729023 | Jessica Irene Cassell | Technician | 139 Cutlip Drive, Mill Creek, WV 26280 | 2020-10-29 |
| 1710587720 | Johnna Paugh | Home Health Aide | 301 Mccall Run Rd, Mill Creek, WV 26280-1135 | 2020-10-28 |
| 1891394664 | Christine Shrader | Technician | 63 James Shrader Rd, Mill Creek, WV 26280-5041 | 2020-10-22 |
| 1326646035 | Natasha Habib Dds Ps | Clinic/Center | 1025 153rd St Se Ste 103, Mill Creek, WA 98012-4051 | 2020-10-14 |
| 1184221657 | Shirley Hansford | Technician | 111 Conrad St, Mill Creek, WV 26280-4560 | 2020-10-07 |
| 1144837659 | Billy Gear | Technician | 433 Gwen Dr, Mill Creek, WV 26280-1404 | 2020-09-29 |
| 1699382150 | Eletha Rush | Technician | 105 Allen St, Mill Creek, WV 26280 | 2020-09-29 |
| 1699382036 | Kal Corp | Allergy & Immunology | 2404 137th Pl Se, Mill Creek, WA 98012-4601 | 2020-09-29 |
| 1619583887 | Wannipat Herz | Pharmacy Technician | 14427 12th Dr Se, Mill Creek, WA 98012-1385 | 2020-09-22 |
| 1073128435 | Claudia Angelica Nunez | Interpreter | 3106 139th Pl Se, Mill Creek, WA 98012-5695 | 2020-09-12 |
| Find all providers in MILL CREEK | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386947257 | Singh and Bajwa Pllc | Dentist | 13209 44th Ave Se Ste 201, Mill Creek, WA 98012-8985 | 2010-12-14 |
| 1821223892 | Thomas F Helbert Dds Ms Ps Inc | Dentist | 14910 29th Dr Se, Mill Creek, WA 98012-5816 | 2009-05-20 |
| 1992974778 | Young Seop Lee | Dentist | 15224 Main Street, Suite 301evergreen Family Dental, Mill Creek, WA 98012 | 2008-02-26 |
| 1508083940 | Justin Ray Parks | Dentist | 7370 S. Pine Creek Rd, Mill Creek, OK 74856 | 2007-04-19 |
| 1518088186 | Michael G Lamarche | Dentist | 15129 Main St, Suite 202, Mill Creek, WA 98012-9036 | 2007-04-02 |
| 1992861249 | Chad Garrett Slocum | Dentist | 3922 148th St Se, Suite 201, Mill Creek, WA 98012 | 2006-12-29 |
| 1962405969 | Kim A Walter | Dentist | 16306 Bothell Everett Hwy, Ste 2, Mill Creek, WA 98012-1283 | 2005-05-23 |
| 1114324274 | Bj Mulliken Dds Pllc | Dentist | 16030 Bothell Everett Hwy Ste 280, Mill Creek, WA 98012-1599 | 2014-12-04 |
| 1952702342 | Mill Creek General Dentistry | Dentist | 15704 Mill Creek Blvd, Mill Creek, WA 98012-1572 | 2014-09-04 |
| 1871992479 | John Szerszen | Dentist | 16030 Bothell Everett Hwy Ste 260, Mill Creek, WA 98012-1274 | 2014-08-19 |
| Find all providers in MILL CREEK | ||||
| City | MILL CREEK |
| Zip Code | 98912 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.